Ninus Ebrahimi, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

61374 Issued in CA

Practice address

1240 S Westlake Blvd Ste 127
Westlake Village, CA 91361-1984

Phone

(805) 409-9195

Fax

(805) 852-5250

NPI assigned

Aug 27, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ninus Ebrahimi, DMD, a Dental Corporation

  • Pediatric Dentistry
  • Westlake Village, CA
  • NPI 1063163954
  NPD Authorized official
• Ninus Ebrahimi, DMD, a Dental Corporation

  • Pediatric Dentistry
  • Westlake Village, CA
  • NPI 1275261257
  NPD Authorized official
• Choi Chen Dental Corporation

  • Pediatric Dentistry
  • Valencia, CA
  • NPI 1740979731
  NPD (past)
• DRS. Triplett & Martin, a Dental Corporation

  • Pediatric Dentistry
  • Valencia, CA
  • NPI 1437409356
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1063760965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23969 NEWHALL RANCH RD.",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "91355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 S WESTLAKE BLVD STE 127",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611984",
            "telephone_number": "805-409-9195",
            "fax_number": "805-852-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBRAHIMI",
        "first_name": "NINUS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Larsen Dworman, P.T.
• Lisa Dyck, MS, LMFT
• Lusine Dzhimbashyan, LMFT
• Eben and Hakimi Dental Inc
• Armon Eben, DDS
• Ed Jesalva M.D.
• Ed S Jesalva MD Inc
• Edelman Media
• Marina Edelman, MFT
• Michael Marvin Edelstein, M.D.

• Pediatric Dentistry in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.